Provider Demographics
NPI:1720252356
Name:OUSLANDER, SUSAN FREEDMAN (MSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:FREEDMAN
Last Name:OUSLANDER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:FREEDMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:31 CLYDE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5047
Mailing Address - Country:US
Mailing Address - Phone:732-873-9949
Mailing Address - Fax:
Practice Address - Street 1:31 CLYDE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5047
Practice Address - Country:US
Practice Address - Phone:732-873-9949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC005197001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical